John Park
NPI 1336395243 · on the registry since 2008
Practice
- Address
- 43170 Southern Walk Plz Ste 116
Broadlands, VA 20148 - Phone
- (703) 687-4320
- Organisation at this address
- Dental Professionals Of Virginia, P.C
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia